Carpal Tunnel Release

What is a Carpal Tunnel Release?

A carpal tunnel release is a surgical procedure where the surgeon divides the ligament that forms the roof of the carpal tunnel. By cutting this ligament, the pressure on the median nerve is relieved—which is why the process is referred to as a “release.” Following the procedure, the ligament naturally regrows and heals back together.

Who Should Have a Carpal Tunnel Release?

In most cases, we recommend attempting non-surgical interventions before considering surgery. These conservative treatments typically include the use of wrist splints or braces, medication to manage inflammation, modifications to daily activities and ergonomics, or corticosteroid injections. While these methods can be effective, they often provide only temporary relief for some patients.

How Well Does Carpal Tunnel Release Work?

This procedure is generally viewed as a high-reward, low-risk surgery, boasting a success rate of over 90 percent regarding pain reduction. As with any surgical intervention, there are inherent risks, such as potential infection, blood clots, or adverse reactions to anesthesia. However, when performed using an endoscope (a minimally invasive technique), the complication rate is very low. While many patients are candidates for endoscopic surgery, some may require a traditional open surgery depending on their specific anatomy and needs.

What Can I Expect When I Have a Carpal Tunnel Release?

Once your surgery is scheduled, you may be required to undergo a pre-surgical physical exam to ensure your health history is accounted for in the surgical plan. Upon arriving at the facility, you will meet with your surgeon. Depending on your health needs and preferences, the procedure can be performed under general anesthesia (where you are fully asleep) or regional anesthesia (where the area is numbed but you remain awake). You will finalize these details with your anesthesiologist on the morning of the operation. Because carpal tunnel release is an outpatient procedure, you will be able to return home the same day.

It is normal to experience some swelling and pain following the surgery. While most symptoms improve within a month, full nerve recovery can take up to a year depending on the severity of  symptoms prior to surgery. To help you regain your pinch strength and grip, your care team may recommend a course of hand (occupational) therapy.